Q47: Obstetrics: PLAB/UK(MLA) Exam style question

A pregnant woman with symptoms of jaundice, itching, and lethargy visits the emergency department. The woman is 37 weeks pregnant and has normal vital signs. On examination, she is jaundiced, but her blood tests show normal INR and WBC count, while elevated levels of bilirubin, ALP, ALT, γGT, and low albumin levels. The tests for acute viral hepatitis are negative. What is the most likely diagnosis?

A. HELLP syndrome

B. Cholestasis of pregnancy

C. Acute fatty liver of pregnancy

D. Pre-eclampsia

E. Viral hepatitis

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